Laserfiche WebLink
�ERMIT APPLICATI� �� �Z, 'B-� <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> , �- 7—�� <br /> 51TE ADDRESS�,J PPOPEflN TA7(d P ftM1Tl1 <br /> Po 3 � ✓FSF �1�E�/�E- (,�/ Gb5/802o/Zo/oD0 <br /> LEGhL lor new constmclion: Shotl AlaVsubdivision Lot No._ (attar'�copy ol long legal descrip�ion) <br /> OWNER L�YE�L�� Q�.��/��(� (� � -� P�onME-mail / ��.�G�� G Z <br /> naeress .3�� 7 �L1�� /f(/c� C c�ry�si,icn.�o �l��j�Fj <br /> APPLICANT:�Ovmer Owner'sAgenl _Conlractor _ConimetorsAgenl TCn�pl(mu;IpmHConlenmatwnirnllm.rNew�noaa.Mlnthaspau� <br /> CONTRACTOR State Lia il Cit Dus.Lic. # <br /> Pddress Phonc/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT�a� NFF� <br /> Phonel[�mail 7Z��00. 6✓�/V k'o�/�'/@�/f'�� �/�6 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3.�l/. � <br /> [xisting Use of Bwlding I�1FJ�T SOURCE� <br /> Proposed Usc of�uilding Gas._ Eicctnc� Olhcr_ <br /> Buildin3 type: _Single Family __Duplex_Townhou e _Multi-Family _Commercial <br /> Type ol projecc New Adtlilion ✓Remodel Repair_T.I._Siyn_Sprinkler__Demotition_Change of Use <br /> DESCRIPTION OF WORK(add�lional spacepwvided on tha bnck�: <br /> s��iN�� , Fi����� a��.�-,v.4.�G <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa oi Project: _Nav:_Addn _Alleration_Rapair Typo ol ProJoct: _Now_Addn _Al�eralion_Ropalr <br /> Show Numbcr(H)ol lixfures Show Numbcr(N)o//ixfums <br /> A/C—air handling units Toilel <br /> Forced a�r syslems � �alhtub <br /> Gas piping � Lavatory(wash basin) <br /> � Watcr healer Shower <br /> Gas fr^place Kitchen sink 8 disposal <br /> � Gasrange Ihsliwashcr <br /> Clothes d ef Clolhes washcr <br /> Ranqe hood Water healer <br /> Exhausl f�m Sink(servicelbadmapletc) <br /> Heat pump Backllow prevenlcr <br /> Umt hcatcr Urinal <br /> Ooilcr Drinking I�ounlain <br /> � Rcirigcralion Floor drain <br /> Woodsbce Grcasc Ira <br /> Uucling Roof drains <br /> Glher Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM O�her: <br /> Number ol Hcads � Other: <br /> I�uzDy eenly I�al I�avc rcad anJ e�nmined Ihis appli��Lon and knaw IAe:amo lo Ea Vua and wncd hll p�ovuiom ol lawa nnC onl�nanccs govem�ng this lype oI wo�k will be eompheA <br /> w'.n wf�cRmr spcuhcd hcran or nol.TTc 9mnbng ol n permA docs nal p�es�mo to 9na aN�ority to vrolatc o�cnpcel lpc piovision ol any ot�cr slalc or loc_il law rc9ulaling conslmdlon <br /> T�al l��m,m nietl Oy i�e ownm ol lhif pmpciry lo peilom Ne wo�R for wi�irh,pplleivon ii maee xnE I comV�Y w�ih Na S��le ConVaclaf Lew IB 27 NCIY enJ 29G 200A WAC. <br /> � � - -/f"�y `�Z . <br /> Ownod�u ri ��Agont Signaturo Ualc (Rcvucd J?077) <br /> � <br />